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Thank you for your interest in becoming a BNI member. You are well on your way to increasing your profit and even discounts or other member services!

Application Process: A prospective member may attend two meeting as a visitor. Prospective members must have a sponsor and then complete this application and submit it with full payment to the Membership Committee for review. The Membership Committee completes the screening process and notifies the prospective member of acceptance or nonacceptance before the next meeting. Upon acceptance, the Membership Committee will notify the President who will then announce the new member at the next meeting.

Date:
Chapter Name:
Applicant Name:
Business Name:
Business Address:
City:
State:
Zip Code:
Email:
Business Phone:
Home Phone:
Fax Number:
Describe Your Product or Service:
Sponsor's Name:
Please Answer All Questions
Experience in field/occupation (be specific):
Education background in field/occupation or degrees, licenses or credentials required to perform in field/occupation.
Is the occupation under which you are applying for membership a full or part time occupation?
Full
Part Time
How long have you been with the company you are representing today?
Are you able and willing to make the commitment to arrive at our weekly meetings on time and stay throughout the 90 minutes, attend Member Success Program, and abide by the BNI policies, guidelines, and cod of ethics?
Yes
No
Is there an individual in your company who would be willing and able to attend meetings on behalf, if you are unable to attend?
Yes
No
What do you expect to contribute to this chapter?
What is your ability to bring qualified referrals or visitors?
Do you belong to other networking organizations?
If so, please list:
Business Reference 1
Name:
Business:
Position:
Phone:
Fax:
Business Relationship:
Business Reference 2
Name:
Business:
Position:
Phone:
Fax:
Business Relationship:

Upon acceptance to BNI, I agree to abide by the following Cod of Ethics during the tenure of my participation in the organization.
1. I will provide the quality of services at the prices that I have quoted.
2. I will be truthful with the members and their referrals
3. I will build goodwill and trust among members and their referrals.
4. I will take responsibility for following up on the referrals I receive.
5. I will display a positive and supportive attitude with BNI members of my chapter.
6. I will live up to the ethical standards of my profession.
Note: Professional standards outlined in the formal code of ethics supersede the above standards.